Military medicine
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Food and drug law requires that the ingredients in most foods be disclosed on their labels, but until recently there was no requirement that nutrition information be provided. The Nutrition Labeling and Education Act of 1990 (NLEA), passed on November 8, 1990, mandated the Food and Drug Administration to establish regulations requiring most foods to have a uniform nutrition label showing the amount of calories, calories from fat, total fat, saturated fatty acids, cholesterol, total carbohydrates, complex carbohydrates, sugars, fiber, protein, and sodium. The Act also establishes the circumstances under which content claims and disease claims may be made about nutrients in food. This paper briefly discusses recent changes in the food label brought about by the NLEA and focuses on health claims on food labels.
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Case Reports
Splenic rupture due to extraperitoneal gunshot wound: use of peritoneal lavage in the low-tech environment.
The upsurge in armed conflicts and civil unrest around the world will result in the need to treat gunshot wounds in austere conditions. This report details a splenic injury that resulted from a gunshot of the torso that did not penetrate the peritoneum. The author made the diagnosis using peritoneal lavage, which can be adapted to field conditions.